Provider Demographics
NPI:1235780701
Name:CAGNEY, SHANA MAUREEN (RN)
Entity Type:Individual
Prefix:MS
First Name:SHANA
Middle Name:MAUREEN
Last Name:CAGNEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 ALBATROSS LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-9163
Mailing Address - Country:US
Mailing Address - Phone:843-437-0376
Mailing Address - Fax:
Practice Address - Street 1:194 SUGAR MAGNOLIA WAY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-9002
Practice Address - Country:US
Practice Address - Phone:843-437-0376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider